Displaying 51731-51740 of 1611142 results.
ID:
51731
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51732
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988330
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51733
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51734
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
51735
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
51736
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
51737
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
51738
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51739
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
51740
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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